National Provider Identifier [NPI]: |
1629034079 |
Last Name Of The Provider |
KAZI |
First Name Of The Provider |
RAHIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1707 WATSON BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WARNER ROBINS |
Zip Code Of The Provider |
310933606 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
20537 |
Number Of Medicare Beneficiaries |
2032 |
Total Submitted Charge Amount |
4546277.6 |
Total Medicare Allowed Amount |
1560673.67 |
Total Medicare Payment Amount |
1167218.25 |
Total Medicare Standardized Payment Amount |
1239154.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3686 |
Number Of Medicare Beneficiaries With Drug Services |
528 |
Total Drug Submitted ChargeAmount |
161273 |
Total Drug Medicare AllowedAmount |
107880.65 |
Total Drug Medicare PaymentAmount |
83360.96 |
Total Drug Medicare Standardized Payment Amount |
83360.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
16851 |
Number Of Medicare Beneficiaries With Medical Services |
2032 |
Total Medical Submitted Charge Amount |
4385004.6 |
Total Medical Medicare Allowed Amount |
1452793.02 |
Total Medical Medicare Payment Amount |
1083857.29 |
Total Medical Medicare Standardized Payment Amount |
1155793.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
269 |
Number Of Beneficiaries Age 65 to 74 |
887 |
Number Of Beneficiaries Age 75 to 84 |
622 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
1048 |
Number Of Male Beneficiaries |
984 |
Number Of Non Hispanic White Beneficiaries |
1468 |
Number Of Black or African American Beneficiaries |
482 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.563 |